The most often used biochemical marker for acute pancreatitis is serum amylase, however its sensitivity might be lowered by late presentation, hypertriglyceridaemia, and persistent drinking.
What is the nurse's primary concern while caring for a patient with chronic pancreatitis?Chronic pancreatitis patients are at a significant risk of hyperglycemia due to damaged pancreatic cells and an inability to control glucose. The patient's glucose levels should be monitored by the nurse.
Acute pancreatitis is often diagnosed by the presence of stomach discomfort and high serum amylase and/or lipase levels.
Acute pancreatitis patients leak a substantial volume of fluids to the third spacing into the retroperitoneum and intra-abdominal tissues. As a result, patients require immediate intravenous (IV) hydration.
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Anthony has secretly been taking anabolic steroids to improve his athletic performance. Which of the following is a side effect that might tip off his friends and teammates that he has been abusing steroids?A) He is no longer aggressive or violent.B) His skin is remarkably free of acne.C) He has noticeably grown breasts.D) His cholesterol levels have never been lower.
Option C is the correct answer.Anabolic steroids are prescription-only medicines that are sometimes taken without medical advice to increase muscle mass and improve athletic performance.
If used in this way, they can cause serious side effects and addiction.
Anabolic steroids are manufactured drugs that copy the effects of the male hormone testosterone. They have limited medical uses and are not the same as corticosteroids, a different type of steroid drug that's more commonly prescribed.
Side effects include:-
1. reduced sperm count
2. infertility
3. shrunken testicles
4. erectile dysfunction
5. hair loss
6. breast development
7. increased risk of prostate cancer
8. severe acne
9. stomach pain
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a vaginally delivered infant of an hiv positive mother is admitted to the newborn nursery. what intervention should the nurse perform first?
The nurse should start the intervention by bathing the baby.
On the third postpartum day, the nurse should expect which behavior from a new mother who had an uneventful vaginal birth?By the third postpartum day, the new mother should begin to assume responsibility for raising her child, starting by enquiring about baby care and taking the initiative to provide for it.
When a baby is delivered with anencephaly, what course of action should the nurse take with the family?Make certain that strategies are provided to ease the attachment process. Prepare the family to consider coping mechanisms in light of the infant's impending death.
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which would the nurse incorporate into the plan of care for the older adult experiencing chronic pain?
Care for an elderly client with a number of chronic diseases is planned by the nurse. The nurse should strive to improve the patient's quality of life.
What are chronic health issues?
If a problem lasts for a year or longer and necessitates continuing medical care, restricts daily activities, or both, it is typically referred to as a chronic disease. The leading causes of death and disability in the US are chronic diseases like diabetes, cancer, and heart disease.
How many older people have several chronic illnesses?
According to the Centers for Disease Control and Prevention, two or more chronic health conditions affect 85% of adults over 65 and 60% of seniors, respectively. Many elderly persons find it challenging to manage various chronic conditions.
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a patient taking ssris mentions to the nurse that his current medication causes fewer side effects than the tricyclic antidepressant he took several years earlier. the nurse understands that ssris advantage is due to
A patient currently taking an SSRI said his current treatment had fewer side effects than a tricyclic antidepressant taken the year before. Nurses understand that the advantage of SSRIs is that the drug suppresses the re-absorption of serotonin so that the risk of side effects is low.
What are antidepressants?Antidepressants are drugs used to treat depression. This drug works by balancing the content of natural chemical compounds in the brain called neurotransmitters, so they can relieve complaints and help improve mood and emotions.
Meanwhile, SSRIs are anti-depressant drug that works by suppressing the re-absorption of serotonin in the brain so that serotonin levels increase. These types of antidepressants are generally the first choice for treating depression, due to the low risk of side effects.
Your question is incomplete, but most probably your full question was:
A patient taking SSRIs mentions to the nurse that his current medication causes fewer side effects than the tricyclic antidepressant he took several years earlier. Does the nurse understand that SSRIs advantage is due to? Select all that apply.
The drug suppresses the re-absorption of serotonin so that the risk of side effects is low.The drug has no re-absorption of serotoninLearn more about the causes of the great depression here :
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which questions should the nurse ask the client when assessing for peripheral vascular deficits? select all that apply.
A blood circulation disorder called peripheral vascular disease (PVD) causes the blood arteries outside of your heart and brain to constrict, block, or spasm. A nurse should asses this condition by asking:
What is peripheral vascular deficits and what are the questions a nurse should ask while assessing it?It is a slow-moving circulatory illness known as peripheral vascular disease (PVD). PVD may result from a blood vessel spasm, obstruction, or narrowing. Any blood vessel, including arteries, veins, and lymphatic vessels, that is not part of the heart may be impacted by PVD.
While assessing this condition, a nurse should ask the following questions to the client:
Have your hands or feet become numb?Do you have any leg sores that never heal?Which is worse for the agony, hanging your legs or elevating them?Know more about peripheral vascular assessment at:
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The complete question is-
Which questions should the nurse ask the client when assessing for peripheral vascular deficits? Select all that apply.
a. do you have numbness in your hands or feet?
b. are there any sores on your legs that never heal?
c. Do you experience any chest pain upon exertion?
d. do you feel dizzy when you change positions too fast?
e. what makes the pain worse, elevating your legs or dangling them?
the nurse is caring for several clients in the home care setting. which client, when found deceased, will the nurse report as a case for the medical examiner?
The nurse would notify the medical examiner, the doctor, and other clinicians of the death, depending on where the event occurred.
What exactly is dysfunctional grief?Dysfunctional grieving is characterised by an inability to follow the typical path of normal grieving to resolution. The person becomes overwhelmed and turns to unhealthy coping mechanisms when the process deviates from the norm.
What nursing considerations arise during the stages of grief?Evaluate the specific loss, the significance of the loss, the coping mechanisms, and the availability of support. Accept the client; don't speak to them directly. Encourage resiliency and freedom of expression. Reassure the client that their defence mechanism, including their desire for solitude and denial, is normal.
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a nurse is administering vitamin k to an infant shortly after birth. the parents ask why their baby needs a shot. the nurse explains that vitamin k is
This aids in the prevention of a rare bleeding ailment known as haemorrhagic disease of the newborn. While you were pregnant, your midwife should have discussed the injection with you.
Why is vitamin K given intramuscularly after birth?At birth, babies have low quantities of vitamin K in their systems. Babies who do not obtain enough vitamin K are at risk of developing a rare bleeding disease. The most effective technique to prevent this is with a single vitamin K injection at birth.
Vitamin K is required for regular blood clotting. Babies are born with very low levels of vitamin K in their bodies, which can cause major bleeding issues. According to research, a single vitamin K injection at birth protects your kid from experiencing severe bleeding that can cause brain damage.
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you are in a shopping mall and a person is having a seizure. the seizure lasts only a few minutes, after which the victim is awake but disoriented. what care should you give to this victim after the seizure is over?
After the seizure victim is awake and disoriented, immediately check for any life-threatening conditions, make sure their airway is open, and call 911.
Seizures are sudden and uncontrolled electrical disturbances that happen in the brain. Its sign and symptoms generally include:
ConfusionA staring spellUncontrollable je.rking movements of the limbsConsciousness lossAnxietySeizures can be triggered by various things, such as flashing lights, lack of sleep, high fever, medication, stroke, and many more. When experiencing a seizure, the victim might be at risk of dangers, such as:
Falling (may end up injuring body parts).Drowning (if happen when swimming or bathing).Accidents (for example, car accidents when they happen during driving).When encountering someone that experiencing a seizure, don't try to move them. Don't give them anything to consume until they have fully recovered. Instead, support them gently and cushion their head to avoid injury. If it's happening in a long time or a life-threatening condition occurs, call 911.
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which of the following statements about managing medical problems is false? group of answer choices most symptoms require treatment with otc drugs or professional assistance. an individual with a chronic condition such as diabetes should consult a physician before using an otc drug. professional medical advice is recommended for a symptom that is severe, unusual, persistent, or recurrent. self-evaluation of symptoms and self-treatment with nonprescription drugs is an important part of health care.
Self-evaluation of symptoms and self-treatment with non-prescription drugs is an important part of health care is the false statement about managing medical problems.
Self-medication could provide some short-term respite, but over time, it just makes your problems worse. Regular self-medication can result in addiction, a worsening of mood disorders, and an increase in health issues whether you use alcohol, illegal substances, prescription prescriptions, or over-the-counter foods and beverages (or even food or smokes).
What are two drawbacks to taking medications?
When you use a medication, there is a danger that something unpleasant or unexpected could happen to you. Risks might range from little inconveniences like an upset stomach to more serious issues like liver damage.
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a home health nurse is visiting a new client who uses oxygen in the home. for which factors does the nurse assess when determining
The nurse should begin by determining the client's oxygen saturation. If the client is stable, the nurse can palpate the upper chest skin to feel for air. If the patient is in danger, the nurse summons the Rapid Response Team.
What are the nursing obligations during oxygen administration?Nurses play an essential role in identifying variables that can impair oxygen delivery to the lungs and tissues, as well as ensuring that patients who may require supplemental oxygen therapy are examined and managed safely and efficiently. This page discusses the architecture and physiology of oxygen delivery to the lungs and body tissues, as well as the frequent indications and contraindications for supplementary oxygen therapy. It also addresses how nurses can determine a patient's clinical requirement for supplemental oxygen therapy, as well as the safety precautions that must be taken.
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a client with a gram-negative bacterial infection has been prescribed a fluoroquinolone. during the preadministration assessment, the nurse should ensure that which laboratory tests, if prescribed, are obtained before the first dose of fluoroquinolones is administered to the client?
During the preadministration assessment, the nurse should ensure Culture and sensitivity test
What is gram-negative bacteria ?Gram-negative bacteria are becoming more and more resistant to the majority of available antibiotics, as well as to a number of different drugs. These bacteria have the innate ability to find new ways to resist, and they can spread genetic material that enables other bacteria to develop drug resistance.
Almost every environment on Earth that supports life contains gram-negative bacteria. The Escherichia coli model organism is a gram-negative bacterium, as are many pathogenic bacteria like Pseudomonas aeruginosa, Chlamydia trachomatis, and Yersinia pestis.
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7. a patient is admitted with diabetic ketoacidosis (dka) and has a serum potassium level of 2.9 meq/l. which action prescribed by the health care provider should the nurse take first?
Place the patient on a heart monitor, with the nurse acting as the healthcare practitioner.
Which medication is effective in lowering the serum ketone level in diabetic ketoacidosis patients?Treatment for DKA requires the administration of insulin because it enhances peripheral tissues' ability to utilise glucose, reduces gluconeogenesis and glycogenolysis, and inhibits ketogenesis. The primary method of delivering insulin to people with DKA is intravenous infusion.
How is KCl given to DKA patients?If potassium levels are normal or low, replacing fluids should be done first before beginning potassium supplementation. When the potassium concentration is less than 5.5 mEq/L, add 20–40 mEq/L of potassium chloride to each liter of fluid. Two thirds as KCl and one third as KPO4 can be used to provide potassium.
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a nurse is reviewing postoperative protocols with the client, including an explanation and a demonstration of how to use an incentive spirometer. how does the nurse know that the teaching on the use of the incentive spirometer was effective?
After surgery, a patient is given a postoperative protocols for an incentive spirometer (is). When using the spirometer appropriately, the client is told by the nurse to anticipate coughing.
A spirometer is a biological device that measures lung capacity and volume. A postoperative protocols spirometer's structural layout is fairly straightforward. A gas storage container is the main part of the device. To understand the essential operating principle of a spirometer, we must first look at its basic design.The water-sealed variant of spirometer is one of the most popular types. Spirometers measure the amount of air entering and leaving the lungs, or breathing. Spirometers are the main equipment used for basic pulmonary function tests (PFTs). The examinations could rule out lung diseases like emphysema, bronchitis, and coughing
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which measure would likely be rejected as part of a first-line weight loss plan for a client with a body mass index (bmi) of 30.2, type 2 diabetes, and hypertension?
The client has a BMI of 30.2, type 2 diabetes, and hypertension. The first-line weight loss plan that would likely be rejected is: B. Gastric bypass.
What is gastric bypass?Gastric bypass is a weight-loss plan by doing a bariatric surgery where the physician makes the client’s stomach and small intestine change their way of digesting and absorbing food. This weight-loss plan aims to restrict the amount of food the stomach holds so that the client can consume a much smaller portion of their regular food. Gastric bypass is the last plan we can do to lose weight, so it will be likely rejected as the first-line plan of weight loss.
The question seems incomplete. The complete options for the question are as follows:
“A. Calorie reduction by 500 to 1000 kcal/day.”“B. Gastric bypass.”“C. Prescription drug therapy.”“D. 30 minutes or more of moderate-intensity activity at least 3 days per week.”Learn more about gastric bypass procedure here https://brainly.com/question/28271066
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the nurse is providing teaching to a client with acne who is using isotretinoin therapy. which statement should the nurse make?
Answer:
It is teratogenic in humans.
Explanation:
What is a contraindication for breastfeeding in the less developed parts of the world?.
the nurse is administering tube feeding to a patient taking multiple medications. the nurse is most concerned about absorption of which medication when administered with tube feedings?
The absorption of phenytoin is what the nurse is concerned about.
Why should the nurse be concerned about the absorption of phenytoin?
Feeding through a tube can decrease phenytoin absorption, which could cause seizures. It is advised to delay tube feedings for at least two hours before and after phenytoin delivery. This can be troublesome since the patient might not get enough nutrition as a result of the feedings being skipped. Some claim that the contact is more theoretical than real in this somewhat contentious matter. Therefore, although some institutions have chosen to hold the tube feedings, others have chosen to overlook this potential interaction and instead monitor phenytoin levels and patient conditions. When the need for continuous tube feedings arises, the patient frequently needs intravenous phenytoin.
Hence, the answer is phenytoin.
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for which reasons are patients unlikely to introduce the topic of sex with health care providers? select all that apply. a. most patients have few, if any, questions or problems relating to this topic.
(b, e)Embarrassment to discuss a personal subject and fear of being judged can cause the patient to avoid introduction of the topic. Gender is not a consideration in this question, and it cannot be generalized that patients have few questions or problems on any topics. Health care professionals are generally considered to be knowledgeable in subject matters associated with health and illness.
Any individual who accepts medical treatments provided by medical experts is referred to as a patient. The patient typically need care from a doctor, nurse, optometrist, dentist, veterinarian, or other health care professional because they are ill or injured. Maintaining one's physical condition and practicing preventative measures can help lower the risk of contracting numerous diseases. The capacity of the body to adjust to physical and psychological changes to which it is exposed is referred to as health.
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the nurse considers interventions to include in the plan of care. before implementing any interventions, what action is most important for the nurse to take?
With the client, go over the treatment strategy.After deciding which interventions to use, the nurse should go over the care plan with the patient and get their feedback.
What does the nurse do just before starting an intervention?After reevaluating the patient, the nurse.Reevaluate the patient during the early phase of implementation to make sure the treatments are appropriate.
What nursing interventions are going to be used?Nursing interventions are also divided into seven significant groups according to the medical needs they address:System of the community, family, behavioral, physiologically simple, physiologically complex, safety, and health
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the nurse encourages a client with osteoporosis and intolerance to dairy products to consume calcium-containing foods. which source of calcium does the nurse encourage? fresh meats canned salmon with bones fortified cereal whole grain bread
A client with osteoporosis and intolerance to dairy products to consume calcium-containing foods should consume fortified cereal.
Osteoporosis causes bones to become weak and brittle — therefore brittle that a fall or perhaps delicate stresses like bending over or coughing will cause a fracture. Osteoporosis-related fractures most ordinarily occur within the hip, wrist joint or spine. Bone lives tissue that's perpetually being dampened and replaced.
When cereals are 'fortified', it means that they contain another vitamins and minerals to assist our brains work well, our bones grow, and to keep up the body's defences. Dry cereal and Bran Flakes, have heaps of calcium in one serving.
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a 66-year-old man who originally sought care because of increasing pain in his great toe has subsequently been diagnosed with gout. in addition to pharmacological interventions, what dietary regimen should the nurse recommend to this patient?
The nurse should advise this patient to follow a diet high in fluids and low in protein.
How do proteins work?Almost all of the body's organs, tissues, and parts, including muscle, bone, clothing, and hair, include protein. It is a component of either the hemoglobin, which transports oxygen in the blood, and the enzymes, which power numerous chemical processes. You are constructed from at least 10,000 different proteins, all of which work together to create and preserve who you are.
How much protein is too much protein?Because many elevated foods you consume are heavy in both total and saturated fat, consuming too much protein can also cause blood lipid levels to rise and increase your risk of heart disease. For those who are prone to kidney illness, consuming more protein puts additional strain on the kidneys.
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can use of most medicines taken for colds, hay fever, or headaches have a negative impact on your driving abilities?
Yes, the use of most medicines taken for colds, hay fever, or headaches can have a negative impact on driving abilities.
Medicine refers to substances, compounds, or treatments used to prevent, diagnose, treat, or alleviate the symptoms of diseases, injuries, or medical conditions in humans or animals. Many over-the-counter and prescription drugs used to treat cold, hay fever (allergic rhinitis), and headache symptoms can make you drowsy, dizzy, and obscure your eyesight. They can also slow down your reaction time and affect your judgement. The ability to drive safely can be greatly impacted by these adverse effects.
Antihistamines, decongestants, pain relievers (such as opioids and muscle relaxants), and several cough suppressants are among common drugs that can impair driving. These drugs may make you drowsy or result in other cognitive and physical impairments that raise your risk of having an automobile accident.
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an infant is suspected of having a severe primary immunodeficiency disease. which effect on the infant makes early detection a priority?
Rapid treatment and a better outcome can result from early detection. If the genetic mutation that causes SCID in a family is known, it may also be possible to test a high-risk infant for the illness before birth.
How can I determine if my child is immunodeficient?Primary immunodeficiency can manifest as frequent or recurrent bronchitis, sinus infections, ear infections, meningitis, pneumonia, or skin infections. Internal organ inflammation and infection Blood disorders, such as anaemia or a low platelet count.
What are the primary immunodeficiency diseases' causes?People who were previously in perfect health can develop acquired immune deficiencies as a result of infections or environmental exposures.
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a 70-year-old woman is in the end stages of colorectal cancer and has tended to defer decision making to her oldest son, in accordance with the norms of her culture. the woman's health care provider has discussed the possibility of palliative radiotherapy with the patient and her family, and the patient has asked her son to make the decision whether to pursue or forego this treatment measure. how should the care team best respond?
Late-stage colorectal cancer patients sometimes put off choosing palliative radiation therapy. In order to respond, the care team must honor the patient's requests and solicit his son's input.
What are the definition and significance of decision-making?
Steps in the decision-making process include identifying decisions, gathering information, and considering potential solutions.
By putting pertinent facts in order and identifying options, a step-by-step decision-making process aids in the creation of more deliberate and meaningful conclusions.
The value of decision-making is found in how it aids in selecting one alternative over another. Before choosing a choice, it is crucial to acquire all the information available and consider the advantages and disadvantages. It's crucial to concentrate on the stages that guide you in making the best decisions.
What is wise choice-making?
Good decision-makers take activities that benefit both themselves and other people. Don't let your preconceptions cloud your judgment when making decisions; instead, approach the process with an open mind. After understanding the effects, weigh your options and make a sane choice.
Hence, Late-stage colorectal cancer patients sometimes put off choosing palliative radiation therapy.
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the nurse is assessing a client admitted with diabetic ketoacidosis. which statement made by the client indicates a need for further education on sick day management?
The statement made by the client is that "I need to stop taking my insulin when I am ill because I am not eating."
What three functions does insulin have?
The hormone insulin, which is secreted by your pancreas, regulates the amount of glucose in your bloodstream at any particular time. It also aids in the storage of glucose in your muscles, fat, and liver. Finally, it regulates how proteins, lipids, and carbs are metabolized by your body.
Does insulin treat diabetes?
Insulin aids in the transfer of glucose from the bloodstream to the cells when taken. The remainder of that sugar is then stored in your fat, muscles, and liver for later consumption by your cells. Your blood sugar level should return to normal as the sugar enters your cells.
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a client is diagnosed with zollinger-ellison syndrome. the nurse knows to assess the client for which characteristic clinical feature of this syndrome?
Answer:steatorrhea
Explanation:
a client has had an invasive abdominal surgery to relieve an obstruction of the common bile duct. the client's surgery is completed, and the client has been transferred to the postanesthesia care unit (pacu). the pacu nurse observes that the client suddenly appears red in the face and appears to be coughing despite the presence of an endotracheal tube and ventilator support. what action would the pacu nurse take first?
PACU nurse observes that the client suddenly appears red in the face and appears to be coughing despite the presence of an endotracheal tube and ventilator support so the nurse should suction the client through the endotracheal tube.
Endotracheal tube is used to: Keep the airway open so as to present element, medicine, or physiological state. Support inhaling bound sicknesses, like respiratory disorder, emphysema, coronary failure, folded respiratory organ or severe trauma. take away blockages from the airway.
A ventilator is a device that supports or takes over the respiratory method, pumping air into the lungs. those who keep in medical care units (ICU) may have the support of a ventilator. Once the majority refer an individual being on life support, they are sometimes talking a few ventilator.
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1. what type of hematologic disorder would you suspect based on mb’s history, physical examination, and laboratory values? why? 2. what other history data would be helpful in determining the cause of this disorder? 3. which of mb’s clinical signs are reflective of the body’s effort to compensate for the decreased oxygen-carrying capacity seen with this condition? 4. mb is counseled to increase her dietary intake of iron-containing foods. what kinds of food would be recommended?
1. In addition to blood cell cancers, hematologic diseases include rare genetic disorders, anemia conditions related to HIV, sickle cell disease and complications from chemotherapy or transfusions.
2. History can include
Abnormal bruising, abnormal bleeding from cuts and abrasions, Nose bleeds, Menorrhagia, Haemarthrosis, Bleeding after dental extraction, Bleeding during childbirth.
3. Since the heart operates solely under aerobic metabolism, myocardial mitochondria must maintain an abundance of oxygen to continue oxidative phosphorylation. Heart rate, contractility, and ventricular-wall tension are the three factors that determine myocardial oxygen demand. An increase in any of these variables requires the body to adapt to sustain adequate oxygen supply to the heart.
4. While in general, meats have the highest content of iron per ounce, there are many other foods that contain iron in smaller quantities, which you can feed to your child. Unfortunately, there really aren't any fruits that contain significant amounts of iron other than raisins and prunes. Vegetables that are reasonable sources of iron are leafy green vegetables like spinach, kale, and collard greens. Another vegetable with high iron content is beans (such as navy beans, soybeans, and black-eyed peas). Avocados also have iron.
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a nurse is caring for an infant who is to be administered an enema. what spiritually oriented interventions could the nurse follow with newborns and infants?
The ideal nursing intervention while providing care for infants and newborns is to urge the parents to be there when the child receives medical attention.
Enemas? Please explain.Enemas are fluid injections used to cleanse or speed up the emptying of the intestines.Constipation and other issues of a similar nature have long been addressed in this way. Your feces moves more slowly when you have a serious ailment called constipation. It also makes the stool firm and difficult to pass.
Why do babies get the name "infants"?The Latin word in-fans, which means "unable to speak," is the source of the English word "infant." Infantile development is not precisely defined. Infant also has the legal definition of "minor," which refers to any youngster who is not yet considered an adult in terms of the law.
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which treatment goal would the nurse emphasize when teaching a client with a diagnosis of open-angle glaucoma?
Primary open-angle glaucoma treatment's primary goal is to prevent or minimise damage to the optic nerve.
What precisely is open-angle glaucoma?
Angular opening glaucoma
This is the most prevalent form of glaucoma. Still open is the drainage angle between the iris and cornea. The drainage system's effectiveness is compromised in some places, though. This may cause an incremental rise in ocular pressure.
What goal does treatment for open-angle glaucoma serve?
Treatment aims to halt the disease's progression and prevent eyesight loss from getting worse. By reducing the intraocular pressure, this is accomplished (IOP). It has been shown that reducing IOP reduces the possibility of optic disc changes and/or the development of visual field loss
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